The APA is offering a number of “emerging measures” for further research and 
      clinical evaluation. These patient assessment measures were developed to be 
      administered at the initial patient interview and to monitor treatment progress. 
      They should be used in research and evaluation as potentially useful tools to 
      enhance clinical decision-making and not as the sole basis for making a clinical 
      diagnosis. Instructions, scoring information, and interpretation guidelines are 
      provided; further background information can be found in DSM-5. The APA 
      requests that clinicians and researchers provide further data on the 
      instruments’ usefulness in characterizing patient status and improving patient 
      care at http://www.dsm5.org/Pages/Feedback-Form.aspx. 
       
       
      Measure: Severity Measure for Social Anxiety Disorder (Social Phobia)—Adult 
      Rights granted: This measure can be reproduced without permission by 
      researchers and by clinicians for use with their patients. 
      Rights holder: American Psychiatric Association 
      To request permission for any other use beyond what is stipulated above, 
      contact: http://www.appi.org/CustomerService/Pages/Permissions.aspx 
       
       
                               Severity Measure for Social Anxiety Disorder (Social Phobia)—Adult 
                 
                Name:____________________________________   Age: ______    Sex:  Male      Female     Date:_________________ 
                 
                 
                Instructions: The following questions ask about thoughts, feelings, and behaviors that you may have had about 
                social situations. Usual social situations include:  public speaking, speaking in meetings, attending social events or 
                parties, introducing yourself to others, having conversations, giving and receiving compliments, making requests 
                of others, and eating and writing in public. Please respond to each item by marking ( or x) one box per row.     
                 
                                                                                                                                            Clinician 
                                                                                                                                               Use 
                      During the PAST 7 DAYS, I have…                   Never     Occasionally       Half of      Most of        All of       Item 
                                                                                                    the time      the time      the time      score 
                1.    felt moments of sudden terror, fear, or              0            1             2            3            4            
                      fright in social situations 
                2.    felt anxious, worried, or nervous about              0            1             2            3            4            
                      social situations 
                3.    had thoughts of being rejected, humiliated,          0            1             2            3            4            
                      embarrassed, ridiculed, or offending others 
                      felt a racing heart, sweaty, trouble 
                4.    breathing, faint, or shaky in social                 0            1             2            3            4            
                      situations 
                5.    felt tense muscles, felt on edge or restless,        0            1             2            3            4            
                      or had trouble relaxing in social situations 
                6.    avoided, or did not approach or enter,               0            1             2            3            4            
                      social situations 
                      left social situations early or participated 
                7.    only minimally (e.g., said little, avoided eye       0            1             2            3            4            
                      contact) 
                8.    spent a lot of time preparing what to say or         0            1             2            3            4            
                      how to act in social situations 
                9.    distracted myself to avoid thinking about            0            1             2            3            4            
                      social situations 
                      needed help to cope with social situations 
                10.   (e.g., alcohol or medications, superstitious         0            1             2            3            4            
                      objects) 
                                                                                                               Total/Partial Raw Score:           
                                                                            Prorated Total Raw Score: (if 1-2 items left unanswered)              
                                                                                                                   Average Total Score:           
                                     Craske M, Wittchen U, Bogels S, Stein M, Andrews G, Lebeu R. Copyright © 2013 American Psychiatric Association. All rights reserved.  
                                                        This material can be reproduced without permission by researchers and by clinicians for use with their patients. 
                                                                                                                                                       
                                                                                                                                                        
                 
       Instructions to Clinicians 
       The Severity Measure for Social Anxiety Disorder (Social Phobia)—Adult is a 10-item measure that assesses the 
       severity of symptoms of social anxiety (social phobia) in individuals age 18 and older. The measure was designed 
       to be completed by an individual upon receiving a diagnosis of social anxiety disorder (or clinically significant 
       social anxiety symptoms) and thereafter, prior to follow-up visits with the clinician. Each item asks the individual 
       receiving care to rate the severity of his or her social anxiety disorder (social phobia) during the past 7 days. 
        
       Scoring and Interpretation 
       Each item on the measure is rated on a 5-point scale (0=Never; 1=Occasionally; 2=Half of the time; 3=Most of the 
       time; and 4=All of the time). The total score can range from 0 to 40, with higher scores indicating greater severity 
       of social anxiety disorder (social phobia). The clinician is asked to review the score of each item on the measure 
       during the clinical interview and indicate the raw score for each item in the section provided for “Clinician Use.” 
       The raw scores on the 10 items should be summed to obtain a total raw score.  In addition, the clinician is asked 
       to calculate and use the average total score. The average total score reduces the overall score to a 5-point scale, 
       which allows the clinician to think of the severity of the individual’s social anxiety disorder (social phobia) in terms 
       of none (0), mild (1), moderate (2), severe (3), or extreme (4). The use of the average total score was found to be 
       reliable, easy to use, and clinically useful to the clinicians in the DSM-5 Field Trials. The average total score is 
       calculated by dividing the raw total score by number of items in the measure (i.e., 10). 
        
       Note:  If 3 or more items are left unanswered, the total score on the measure should not be 
       calculated.  Therefore, the individual receiving care should be encouraged to complete all of the items on the 
       measure. If 1 or 2 items are left unanswered, you are asked to calculate a prorated score.  The prorated score is 
       calculated by summing the scores of items that were answered to get a partial raw score.  Multiply the partial raw 
       score by the total number of items on the Severity Measure for Social Anxiety Disorder (Social Phobia) (i.e., 10) 
       and divide the value by the number of items that were actually answered (i.e., 8 or 9). The formula to prorate the 
       partial raw score to Total Raw Score is: 
        
           ____________(Raw sum x 10)_____________ 
           Number of items that were actually answered 
        
       If the result is a fraction, round to the nearest whole number. 
        
       Frequency of Use 
       To track changes in the severity of the individual’s social anxiety disorder (social phobia) over time, the measure 
       may be completed at regular intervals as clinically indicated, depending on the stability of the individual’s 
       symptoms and treatment status. Consistently high scores on a particular domain may indicate significant and 
       problematic areas for the individual that might warrant further assessment, treatment, and follow-up. Your 
       clinical judgment should guide your decision. 
        
                                          Copyright © 2013 American Psychiatric Association. All Rights Reserved.  
                          This material can be reproduced without permission by researchers and by clinicians for use with their patients.